| NPI | 1891230231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA DENNERT Manager 248-277-6889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2016-12-20 |